Treatment Options for Androgenetic Alopecia: Efficacy, Side Effects, Compliance, Financial Considerations, and Ethics

    November 2021 in “ Journal of Cosmetic Dermatology
    Mark S Nestor, Glynis Ablon, Anita Gade, Haowei Han, Daniel A. Fischer
    TLDR Combination therapies for androgenetic alopecia work best but can have significant side effects and costs.
    The document reviews various treatment options for androgenetic alopecia (AGA), focusing on their efficacy, side effects, compliance, financial considerations, and ethical issues. Treatments discussed include FDA-approved options like topical minoxidil and oral finasteride, as well as newer therapies like low-level light therapy, PRP, exosomes, and microneedling. Efficacy varies, with combination therapies often showing superior results. Side effects range from mild (e.g., scalp irritation) to severe (e.g., erectile dysfunction with finasteride). Compliance is crucial due to the chronic nature of AGA, and financial costs can be significant. Ethical considerations emphasize patient education and unbiased treatment recommendations. The document calls for more high-quality clinical trials to better compare treatment outcomes.
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      in Chat  34 upvotes 2 months ago
      Key treatments for hair preservation include minoxidil, finasteride/dutasteride, and microneedling, with additional options like specific shampoos, oils, biotin, zinc, tretinoin, clascoterone, and low-level laser therapy. Maintaining a healthy lifestyle, reducing stress, and addressing nutrient deficiencies can also support hair health.

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      in Treatment  6 upvotes 4 years ago
      A 21-year-old male experienced side effects from topical finasteride and is seeking alternative treatments to maintain hair until Breezula is available. He is considering using minoxidil, Nizoral, micro-needling, and vitamin D supplementation, and may try CB or RU58841 if necessary.

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